Risk and prognostic factors of gut perforation after orthotopic liver transplantation for biliary atresia

Olivier Soubrane, Mahmoud El Meteini, Denis Devictor, Olivier Bernard, Didier Houssin – 1 January 1995 – The aim of this study was to assess the risk and prognostic factors of gut perforation after orthotopic liver transplantation in children with biliary atresia using univariate and stepwise regression analysis. Among 51 pediatric recipients who underwent transplantation because of biliary atresia after failure of portoenterostomy, 10 patients (20%) had 19 episodes of gut perforations after 14 transplantations. The median delay between transplantation and perforation was 13 days.

Evaluation of purine nucleoside phosphorylase release as a measure of hepatic endothelial cell injury

Clifford A. Brass, Milan G. Mody – 1 January 1995 – With emerging data that endothelial cell (EC) injury is the limiting factor in liver preservation and hepatic function, a simple and reliable biochemical technique for monitoring EC injury is needed. Measurement of purine nucleoside phosphorylase (PNP) release into the circulation from perfused liver has been proposed as such a method. However, our experiments with perfused rat liver did not display a clear or direct relationship between PNP release and endothelial cell injury.

Failure of hepatopulmonary syndrome to resolve after liver transplantation and successful treatment with embolotherapy

John J. Poterucha, Michael J. Krowka, E. Rolland Dickson, Denis A. Cortese, Anthony W. Stanson, Ruud A. F. Krom – 1 January 1995 – The hepatopulmonary syndrome is an uncommon accompaniment of chronic liver disease. The outcome of this disorder after orthotopic liver transplantation is varibable. We describe a patient with the hepatopulmonary syndrome who underwent orthotopic liver transplantation for autoimmune hepatitis. Her platypnea and orthodeoxia failed to improve postoperatively.

Grading of cellular rejection after orthotopic liver transplantation

Siddhartha Datta Gupta, Mark Hudson, Andrew K. Burroughs, Richard Morris, Keith Rolles, Peter Amlot, Peter J. Scheuer, Amar P. Dhillon – 1 January 1995 – All 684 post‐orthotopic liver transplantation (OLT) liver biopsies performed at the Royal Free Hospital (RFH) between 1988 and 1993, from 120 patients, were reviewed in order to try to define the relative importance of the histological features of immunosuppressionresponsive cellular rejection.

Severe or multiple rejection episodes are associated with early recurrence of hepatitis C after orthotopic liver transplantation

Patricia A. Sheiner, Myron E. Schwartz, Eytan Mor, Leona K. Schluger, Neil Theise, Keiji Kishikawa, Vadim Kolesnikov, Henry Bodenheimer, Sukru Emre, Charles M. Miller – 1 January 1995 – Recurrent hepatitis C causes significant morbidity after liver transplantation. Because immunosuppression is associated with enhanced viral replication, we postulated that clinical recurrence of the disease may be associated with augmented immunosuppression for rejection.

Early cellular rejection after orthotopic liver transplantation correlates with low concentrations of FK506 in hepatic tissue

William J. Sandborn, George M. Lawson, Timothy J. Cody, Michael K. Porayko, J. Eileen Hay, Gregory J. Gores, Jeffery L. Steers, Ruud A. F. Krom, Russell H. Wiesner – 1 January 1995 – We have previously reported that low hepatic tissue cyclosporine levels correlate with early cellular rejectionafter liver transplantation. The aim of this study is to determine whether there is a similar relationship in patients treated with FK506.

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